Dr Teresa Gross Kelly, MD in Grand Rapids, MI - Medicare Diagnostic Radiology

Dr Teresa Gross Kelly, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Grand Rapids, Michigan. She went to Stanford University School Of Medicine and graduated in 1987 and has 38 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Childrens Specialty Group Inc, Advanced Radiology Services Pc and her current practice location is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 363-7272.

Dr Teresa Gross Kelly is licensed to practice in Michigan (license number 4301052060) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275580672.

Contact Information

	Dr Teresa Gross Kelly, MD
	3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746
	(616) 363-7272
	(616) 361-5828

Map and Direction

Physician's Profile

Full Name	Dr Teresa Gross Kelly
Gender	Female
Speciality	Diagnostic Radiology
Experience	38 Years
Location	3264 N Evergreen Dr Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Teresa Gross Kelly attended and graduated from Stanford University School Of Medicine in 1987

NPI Data:

NPI Number: 1275580672
Provider Enumeration Date: 05/30/2006
Last Update Date: 11/26/2024

Medicare PECOS Information:

PECOS PAC ID: 7012939341
Enrollment ID: I20090625000439

Medical Identifiers

Medical identifiers for Dr Teresa Gross Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275580672	NPI	-	NPPES
1275580672	Medicaid	WI
250150300	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	4301052060 (Michigan)	Primary
2085P0229X	Radiology - Pediatric Radiology	52993 (Wisconsin)	Secondary
2085P0229X	Radiology - Pediatric Radiology	ME70684 (Florida)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spectrum Health	Grand rapids, MI	Hospital
Midmichigan Medical Center-midland	Midland, MI	Hospital
Bronson Methodist Hospital	Kalamazoo, MI	Hospital
Lakeland Hospital, St Joseph	St joseph, MI	Hospital
Midmichigan Medical Center-gratiot	Alma, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Childrens Specialty Group Inc	2567813447	122
Advanced Radiology Services Pc	4284546516	243

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Teresa Gross Kelly allows following entities to bill medicare on her behalf.

Entity Name	The Medical College Of Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259

Entity Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

Entity Name	Advanced Radiology Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740283324 PECOS PAC ID: 4284546516 Enrollment ID: O20220314000977

Entity Name	Childrens Specialty Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942970405 PECOS PAC ID: 2567813447 Enrollment ID: O20240104002075

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Teresa Gross Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Teresa Gross Kelly, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7272	Dr Teresa Gross Kelly, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7272

Reviews and Comments

Radiology Doctors in Grand Rapids, MI

Dr. Jon R Henke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-363-7290
Geoffrey M. Remes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7339 Fax: 616-361-5828
Jan L Mourelatos, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-361-5828
Dr. Brendan Michael Banyon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272
Dr. Joseph J Junewick, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-363-7290
Keith Alan Morrow, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7339 Fax: 616-361-5828
Dr. Andrew Kent Moriarity, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7339

Dr Teresa Gross Kelly, MD - Medicare Diagnostic Radiology in Grand Rapids, MI